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About
- Board of Directors
- Our Impact
Request Support
Get Involved
Events
Contact

Request Support

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WE're here for you.

Submit this form for a little extra support; either for yourself, or for somebody else who could use a helping hand.

This request is for our Oro Medonte Chapter. Requests outside Oro Medonte can not be serviced at this time.

Are you requesting support for yourself or on behalf of someone else? *

If you are the one completing this form, you will be referred to as the "applicant" moving forward. Please provide your first and last name. *

First

Last

Please provide your email address *

Please provide your phone # *

What is the first and last name of the intended "recipient" of this support request. *

First

Last

If you are submitting this form for someone other than yourself, you must confirm that you have consent to do so. I confirm that I have consent from the intended "recipient" to request support on their behalf. *

Could you please share some details of the situation with us? WE are able to engage our volunteers more quickly when information is provided up front. *

How can WE make these difficult times easier? *

Meal Train
Memorial Service - Food & Beverage
Memorial Server Support - Day Of Staffing

Please check all that apply.

Please note; Our volunteers are able to deliver meals directly to the recipients home, OR you as the applicant can recieve the meals and deliver them to the recipient. *

Volunteers should deliver the meals to the recipient's home directly
Deliver the meals to my home address and I will ensure the recipient receives them
I'm not sure what is preferred at this time

What is the address that WE will be delivering meals to? *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What would be the preferred time of delivery? *

2:00 - 4:00 pm
4:00 - 6:00 pm
6:00 - 8:00 pm
I'm not sure of delivery times yet.

How many people are we feeding in the household? *

When would you like this meal train to begin? *

As soon as possible
1-2 weeks from today's date
2-4 weeks from today's date
Other

WE want to make sure the recipient(s) enjoy the meals provided. Please let us know if there are specific preferences we might accommodate.

Favourite foods, restaurants, picky eaters, etc.

Does anyone in the household have any allergies or dietary restrictions? *

Okay, WE can let our volunteers know. Please specify the allergy or dietary restriction for our records. *

Has this individual already passed? *

So we may offer Memorial Service Support, provide the full name of the deceased (if different from the "recipient" noted above). *

What was the date of passing? *

WE are sorry for your loss. What was this person's age at the time of their passing? *

Please provide the date, time, and location of the memorial service. *

Approximately how many attendees do you expect for this service? *

Please select the food(s) you would like our volunteers to provide? *

Sandwiches
Wraps
Veggie Platter
Fruit Platter
Cookies
Assorted dessert platter
Baked goods (muffins, etc.)

A member of our team will be in touch to discuss specific quantities closer to the date.

What type of beverages would you like our volunteers to provide? *

Coffee
Tea
Bottles Water
All of the above

If you have any other questions or concerns feel free to enter them in the space below.

flagship chapter

ORO MEDONTE

join@weunite.ca
Simcoe County, Ontario

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